Anti-psychotic Medications

Almost all you'd want to know about various types of pyschosis, what causes,the symptoms, etc. HD is described under one below. Also see Mental Health http://www.mentalhealth.com/p20-note.html

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Anti-psychotic http://www.fpnotebook.com/PSY168.htm

Neuroleptic

I. Indications
    Psychosis (e.g. Schizophrenia)

II. Antipsychotic Agents: High Potency
    Fluphenazine HCl (Permitil, Prolixin)
        Extrapyramidal Side effects (EPSE)
        Maximum Dose: 40 mg PO or 100 mg IM per day
    Haloperidol (Haldol) http://www.fpnotebook.com/PSY170.htm
        Extrapyramidal Side effects (EPSE)
        Maximum Dose: 100 mg per day
    Thiothixene HCl (Navane)
        Extrapyramidal Side effects (EPSE)
        Maximum Dose: 60 mg per day
    Pimozide (Orap)
    Trifluoperazine (Stelazine)

III. Antipsychotic Agents: Medium Potency
    Droperidol (Inapsine)
    Loxapine (Loxitane)
    Molindone (Moban)
    Perphenazine (Trilafon)

IV. Antipsychotic Agents: Low Potency
    Chlorpromazine HCl (Thorazine)
        Anticholinergic Symptoms
        Alpha adrenergic blockade (Hypotension)
        Sedation
        Maximum dose: 1000 mg per day
    Thioridazine HCl (Mellaril)
        Anticholinergic Symptoms
        alpha adrenergic blockade (Hypotension)
        Sedation
        Maximum Dose: 800 mg per day
    Mesoridazine

IV. Atypical Antipsychotics: Serotonin>Dopamine Antagonists
    Dibenzodiazepine (Clozapine, Clozaril)
        Anticholinergic Symptoms
        alpha adrenergic blockade (Hypotension)
        Sedation
        Maximum Dose: 900 mg per day
    Olanzapine (Zyprexa)
    Quetiapine (Seroquel)
    Risperidone (Risperdal)
    Ziprasidone (Geodon)

Anticholinergic Toxicity Symptoms

Causes
    See Anticholinergic Medications
    Antihistamines
    Tricyclic Antidepressants
    Incapacitating Agents: BZ
    Ingested items
        Jimsonweed
        Amanita muscaria mushrooms
    Parasympatholytic medications
        Atropine
        Scopalamine
        Hyoscyamine

Symptoms: Mneumonic (antimuscarinic)
    Hot as a hare (Hyperthermia)
    Dry as a bone (Dry Skin)
    Red as a beet (Flushed)
    Blind as bat (Mydriasis)*
    Mad as a hatter (Delirium)

Symptoms: Complete List (antimuscarinic)
    Altered Level of Consciousness
        Hallucinations
        Delirium
        Coma
    Seizures
    Tachycardia
    Hypertension
    Hyperthermia (hot, Dry Skin)
    Dry Mouth
    Mydriasis with blurred vision
    Decreased bowel sounds
    Constipation
    Urinary retention

Management
    Control hyperthermia
    Antidote: Physostigmine (Usually contraindicated

DEFINITIONS
Mydriasis-Pupil Dilatation http://www.fpnotebook.com/EYE35.htm
Xerostomia- Dry Mouth http://www.fpnotebook.com/DEN23.htm

Echolalia or ecopraxia   (Echophenomena _
    Repeating other person's words or statements
    Imitating other peron's actions
    Repeating patient's own statements

Serotonin http://www.fpnotebook.com/PSY103.htm

Psychosis http://www.fpnotebook.com/PSY178.htm
    Huntington's chorea http://www.fpnotebook.com/NEU5.htm
    Personality Disorder http://www.fpnotebook.com/PSY19.htm
    Mood Disorder http://www.fpnotebook.com/PSY80.htm
    Major Depression http://www.fpnotebook.com/PSY50.htm
        Medical Conditions Predisposing to Depression
            Alzheimer's Disease or other Dementia
            Cancer
            Chronic Fatigue Syndrome http://www.fpnotebook.com/RHE117.htm
            Chronic Pain Syndrome http://www.fpnotebook.com/RHE77.htm
            Coronary Artery Disease
            Crohn's Disease
            Medications Predisposing to Depression
            Diabetes Mellitus
            Fibromyalgia http://www.fpnotebook.com/RHE61.htm
            Parkinson's Disease
            Cerebrovascular Accident (CVA)

Negative Symptoms in Psychosis

http://www.fpnotebook.com/PSY180.htm
    Emotional withdrawal
    Poor rapport
    Alogia
    Anergia
    Social withdrawal
    Blunt affect
    Lack of spontaneity and flow of conversation
    Stereotyped thinking
    Attentional Impairment
    Poor abstraction
    Avolition-apathy
    Anhedonia